HomeMy WebLinkAbout1012 Butte Pass Dr - Permits/Footing and Foundation - 09/02/1983.3 /• ae .. �" ." v - � .- ,tom ! ...-. V _`."
City Of FOrt-Colli S_ BUILDING INSPECTION DIVISION
APPLICATION FOR 'BUILDING :PERMIT AND CERTIFICATE.OF OCCUPANCY.
_Applicant complete this part of form only-. -
Press firmly using ball point pen. _
Job Address. -- �� �� s�'e l
Name
`i
c
Mail Address _ G'
3
- - - ...phone - 2-
0
Name-
Address
C
0
O
License No:"..Z
_
Phone .
2
Lot- 2 Block / Filing Number
.N
Subdivision -h � o tv
PLO
rn
J
DES RIPTION OF WORK .
Stock Options
-Plan No.- - - Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and,
state that the above is correct and agree to comply with all city,
ordinances and state laws egul ng building construction
�93
date
►r
CLASS OF WORK -
-' - New Alteration - Addition - . Demolish .. Move
M1
Plbg. Mach.- Elec. _Struct Fire Prot..
❑ - - ❑ ❑ - .❑ ❑-
Occ. Gr. -- Type Const.
Use Zone
Use of Building--
FloorArea - - -
Height. -
No, Stories -
Lot Area - -
Frontage_
Doc. load
Occ. Change from M.-
Plat File No. ` -
No. D.U.
Garage area -
Fin. Bsmt. area '
Type heat
No. Fireplaces or stoves
— RELEASES = " Dates
Zoning
Engineering - -
Fire Department
Electric Department -
Water & Sewer -
Plan Review -
Special Conditions:
Valuation. FEES
Plan Check S-/CG ✓
2
Permit ✓
Parkland
J
City Sales Tax -
p ; DL)
St.-Oversizing ✓
Water Plant Investment
Sewer Plant Investment
—
Storm'Drainage
'
Electric Underground
-
Total Fees -
terra
Off -Street Paiking -
-
-
-- - - -,
(No. Cars) --__
'- InteriorNLot,-
Corner Lot _
-❑ ".
_
Reversed Corner Lot-
- ❑
ir
-
V
9
as
"J
®A
ZBACase# - Date
�BBACaso# bate - -
to
Permit No. - Date - -
'Distribution: Orig'-appl-ca t�Blue SOtic Canae,�_ ry Sales Tax Pnk. _Applicant: Tag -Bldg. Insp. - -_